| NPI | 1164539946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0000887) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0000092) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-06-03 |